Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randy Bloom, FNP-BC

Individual provider Nurse Practitioner · NPI 1265086854

Randy Bloom, FNP-BC is a Nurse Practitioner in Rancho Mirage, California. Qualified in 2019, 7 years ago. Practices with Eisenhower Medical Center, a 459-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone: (760) 773-2882
Fax: (760) 773-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95012312 (CA)

Record details

NPI number1265086854
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rancho Mirage